Senior Stop-Loss Underwriter, Remote & High-Impact

Acrisure; Las Vegas (NV); Hybrid; USD 90,000 - 125,000; Full time

Benefits offered by this job

Comprehensive medical insurance

Dental and vision insurance

401(k) with immediate vesting

Wellness resources and EAP

Job summary

Acrisure is seeking a Senior Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. The role involves underwriting new business and renewals, assessing exposure, and maintaining profitability while staying competitive.

You will collaborate with sales, clinical, policy, and claims teams, review census data and large claimant reports, and provide guidance to junior underwriters. On-site presence is expected to support collaboration and leadership.

Qualifications

• 5+ years of stop loss underwriting experience.
• Strong knowledge of self-funded health plan structures.
• Experience reviewing large claimant reports and medical diagnoses.
• Proficiency in underwriting models and rating tools.

Responsibilities

• Review employer census data, claims experience, and large claimant reports.
• Evaluate specific and aggregate risk exposure and establish attachment points and corridors.
• Price stop loss coverage in accordance with underwriting guidelines.
• Analyze emerging large claims and assess recurrence risk.
• Underwrite new employer groups seeking stop loss coverage.
• Analyze renewal performance and determine rate adjustments.
• Balance competitiveness with profitability targets.
• Provide alternative quoting strategies when appropriate.
• Communicate underwriting decisions clearly with producers.
• Support producers during negotiations.
• Coordinate with policy administration to ensure accurate contract terms.
• Adhere to delegated underwriting authority.
• Ensure compliance with state and federal regulations.
• Provide guidance to junior underwriters.

Skills

Stop loss underwriting

Large claim reports

Self-funded health plans

Pricing & risk assessment

Underwriting guidance

Job description

Acrisure is seeking a Senior Stop Loss Underwriter to evaluate, price, and manage risk for employer-sponsored self-funded health plans. The role involves underwriting new business and renewals, assessing exposure, and maintaining profitability while staying competitive.

You will collaborate with sales, clinical, policy, and claims teams, review census data and large claimant reports, and provide guidance to junior underwriters. On-site presence is expected to support collaboration and leadership.